Increasing cases of non-hepatitis B and non-hepatitis C hepatocellular carcinoma (NBNC-HCC) prompt a comparison with hepatitis virus-associated HCC. A retrospective study of 1321 liver resections showed comparable operative outcomes and long-term survival between matched NBNC-HCC and HV-HCC groups. Independent prognostic factors for overall survival were identified, with NBNC-HCC cases reaching up to 70% of total […]
Author: STITCHES Newsletter
Development of Preoperative Prediction Models for Postoperative Outcomes in Colorectal Cancer Surgery
Preoperative aerobic fitness, along with other factors like age, sex, and tumor location, can predict postoperative complications and physical recovery time in colorectal cancer surgery patients. The developed models show moderate discrimination and good calibration, offering a promising tool for personalized risk assessment and targeted prehabilitation strategies. Journal Article by Cuijpers ACM, Lubbers T (…) […]
Outcome of Laparoscopic Hepatectomy in Precision Surgery
During a study of 1056 patients undergoing laparoscopic hepatectomy, 75% achieved a textbook outcome (TO). Factors like age, ASA classification, and tumor characteristics influenced TO attainment. Notably, patients reaching TO showed improved survival rates, suggesting its importance in precision surgery and patient outcomes. Journal Article by Xu Z, Lv Y (…) Zhu C et 8 […]
Effective Bowel Preparation Quality for Colonoscopy: Comparing 1L-PEG to 2L-PEG and Picosulphate
1L-PEG regimen demonstrated superior bowel preparation quality compared to 2L-PEG and picosulphate, leading to higher adequacy rates, better Boston Bowel Preparation Scale scores, improved right-colon cleansing, and increased exam completion. Factors predicting inadequate bowel preparation included male sex, constipation history, active smoking, previous pelvic surgery, and certain medical conditions. These findings offer valuable insights for […]
Sleeve Gastrectomy VS Roux-en-Y Gastric Bypass in Bariatric Surgery
Findings from a multicenter study comparing Sleeve Gastrectomy (SG) and Roux-en-Y Gastric Bypass (RYGB) in morbidly obese patients revealed that RYGB resulted in greater weight loss and higher remission rates of comorbidities like hypertension, sleep apnea, and gastroesophageal reflux disease over a five-year period. The study suggests that RYGB may be more effective in improving […]
Effect of Time to Operation on Mortality Risk in Elderly Patients with Intestinal Fistula
Delayed surgical intervention of more than three days in elderly patients diagnosed with intestinal fistula significantly increases the risk of mortality, with nearly double the length of hospital stay compared to earlier surgical groups. Mortality rates were notably higher in patients with delayed surgeries, emphasizing the importance of timely operative treatment to minimize mortality risk […]
Effectiveness of Comprehensive Collaborative Scheduling in Nursing Human Resource Management
Implementing a quantitative appraisal method in primary hospital operating rooms revealed a substantial increase in annual surgical cases and improved patient and surgeon satisfaction. The collaborative scheduling system significantly decreased nurses’ average daily working hours while enhancing overall work efficiency and satisfaction levels. This study demonstrates the potential for comprehensive collaborative scheduling to enhance nursing […]
Impact of Surgeon Gender on Postoperative Mortality
Patients treated by female surgeons experienced lower postoperative mortality compared to those treated by male surgeons, especially for elective surgeries. No significant differences were found in readmission or complication rates. This meta-analysis of 15 retrospective cohort studies involving over 5 million participants provides moderate certainty evidence that surgeon gender may influence patient outcomes post-surgery. Journal […]
Risk Factors for Anastomotic Leak After Esophagectomy
An analysis of 4,331 patients undergoing esophagectomy revealed smoking, frailty index, white blood cell count, mckeown esophagectomy, and platelet counts were associated with anastomotic leak. Results showed increased odds of leak with smoking, frailty index scores of 1 or 2, and specific surgical techniques, while higher platelet counts were slightly protective. These findings offer crucial […]
Comparison of Intestinal Perfusion Using ICG and MB Imaging
Real-time assessment of bowel perfusion using methylene blue and indocyanine green was successful in a porcine model, with MB showing a stronger correlation with local lactate levels compared to ICG. This study demonstrates the potential utility of MB as a viable alternative for assessing intestinal perfusion alongside ICG. Further research is needed to translate these […]